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Specifically, we are proposing to recognize a primary care practice delivery model trend which we will refer to as advanced primary care and which we propose to define using the 2021 National Academies of Sciences, Engineering, and Medicine (NASEM) report on Implementing High-Quality Care as: whole-person, integrated, accessible, and equitable health care by interprofessional teams that are accountable for addressing the majority of an individual's health and wellness needs across settings and through sustained relationships with patients, families, and communities. [22] Using this definition, we are proposing to recognize the resources involved in furnishing services using an advanced primary care approach to care under the PFS

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Thirty years later, it had dropped only slightly, to 1.6 births